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2015 Barrett Adolescent Centre Commissi EXHIBIT 186 CHS.900.005.0001 In the matter of the Commissions of Inquiry Act 1950 Commissions of Inquiry Order (No.4) 2015 Barrett Adolescent Centre Commission of Inquiry AFFIDAVIT Dr Jeannette Rosita Young of ct- Crown Law, Chief Health Officer and Deputy Director- General, Queensland Health, solemnly and sincerely affirms and declares: 1. I have been provided with a Requirement to Give Information in a Written Statement dated 4 February 2016. Exhibit A to this affidavit is a copy of this notice, including a copy of the documents attached to the notice. Background and experience 2. I gained my Bachelor of Medicine and Bachelor of Surgery from the University of Sydney in 1986. 3. I am also a Fellow of the Royal Australian College of Medical Administrators (FRACMA), a credential I gained in 2004. 4. I am currently employed in the role of Chief Health Officer and Deputy Director- General, Prevention Division, Queensland Health. 5. Prior to commencing in my current role, I held various other senior roles in Queensland Health and in hospitals In Sydney. Page 1 icitor AFFIDAVIT Crown Solicitor 11th Floor, State Law Building On behalf of the State of Queensland 50 Ann Street BRISBANE QLD 4000 Document No: 6343529 EXHIBIT 186 CHS.900.005.0002 ·2- 6. I have been employed in the role of Chief Health Officer since 2005 and employed as Deputy Director-General, Prevention Division since July 2015. 7. Exhibit B to this affidavit is a copy of my current Curriculum Vitae. It outlines in full my professional roles, qualifications and memberships. 8. The departmental branches that I oversee in the Prevention Division are: (a) Chief Medical Officer and Healthcare Regulation Branch; (b) Health Protection Branch; (c) Preventive Health Branch; (d) Communicable Diseases Branch; and (e) Aeromedical Retrieval and Disaster Management Branch. 9. Importantly, for this Commission, I have had no oversight or other responsibilities with respect to mental health Issues since July 2012 at which time Dr Cleary was appointed as the Deputy Director-General, Health Service and Clinical Innovation ("HSCI"). The first HSCI Executive meeting took place on 27 July 2012. The first HSCI Divisional forum took place on 13 July 2012. Mental Health had therefore transitioned from my role in July 2012 and from then on moved to Dr Cleary. His role included oversight of the Mental Health, Alcohol and Other Drugs Branch. 10. The following paragraphs contain my answers to the questions in the Requirement from the Commission. To put my answers into context, I note that the questions asked by the Commission relate to circumstances that occurred about four years ago and related to only one of many matters with which I was involved. Further, I no longer have any responsibility for mental health issues and, as such, I do not have access to Pagc2 Deponent A-.1~., Solicitor Document No: 6343529 EXHIBIT 186 CHS.900.005.0003 - 3 - the documents that I previously had access to, and from which I potentially could refresh my memory. Question 1 (a) Briefing Note Number 26.7 11. Each year, Queensland Health requires each division to provide particular information to inform an Estimates Brief. 12. The information in Brief Number 25.7 was prepared by staff I supervise as part of that standard annual reporting and I was responsible for its contents. 13. I was ultimately responsible for the information provided in the brief. Question 1 (b) & 1(c) 14. I cannot recall any specific details about the 'fiscal pressures' referred to in the brief but believe I would have been informed by the Executive Director of Mental Health about such pressures as part of the regular meetings that I had with the Executive Director. I understand that the person who was Executive Director of Mental Health at that lime was Dr Aaron Groves. 15. I cannot recall if Queensland Health developed a Cabinet Budget Review Committee Submission for continued implementation in 2012113. As I no longer have any responsibilities with respect to mental health issues, I also no longer have access to the documents maintained by the mental health division (now known as the Mental Health, Alcohol and Other Drugs Branch). Page3 Deponent A-J.1'., C Dei:., Solicitor Document No: 6.343529 EXHIBIT 186 CHS.900.005.0004 -4- Question 2 (a) & (b) Briefing Note dated 3 May 2012 16. I requested and verified the contents of the briefing note for approval dated 3 May 2012 that Is attached to the notice and marked DBK.001.001.0067. Question 2 (c) 17. Before making a Cabinet Budget Review Committee Submission ("CBRC"), it was standard practice to have the Director-General approve the proposed action that was intended to be the subject of any CBRC. 18. Obtaining prior approval from the Director-General to any proposed actions provides greater clarity for the proposal that is ultimately put forward to CBRC. It is purely a matter of ensuring that before a submission is put to CBRC everything possible that can be finalised is done in terms of the content of the document. This requires taking different aspects of the submission to the Director-General and seeking his view on the way forward. The submission then progresses once as much of the separate initiatives have been finalised. It is preferable to have a submission that lays out the complete picture in terms of what is required rather than one that is presented with caveats and multiple options. The Director-General has the responsibility of finalising all CBRC submissions before putting them to the Minister. 19. Prior to the preparation of the briefing note, there would have been discussion about the issue, particularly at the regular, fortnightly meeting with the Executive Director. The briefing note is the culmination of those discussions and is the process by which decisions are recorded. Page4 ~c., Solicitor Document No: 6343529 EXHIBIT 186 CHS.900.005.0005 - 5 - Question 2 (d) 20. I cannot recall any details of the 'multiple delays' referred to. However, it is not unusual to encounter delays in any capital project. Question 2 (e) 21. I cannot recall any specific details of the 'recent sector advice' referred to. I expect that the advice would have been from clinicians, non-government organisations and consumer groups. I do, however, recall that there was significant discussion and debate about whether it was better to have a single service in a single location (such as that at The Park} with the associated dislocation of adolescents from the families or whether It was preferable to provide services throughout the State. 22. I cannot recall whether the 'recent sector advice' was in writing or was conveyed to me orally. If it was in writing, I no longer have control of any relevant documents. If it was orally, I expect the information would have been conveyed to me by the then Executive Director of Mental Health, Dr William Kingswell, as part of our regular meetings. 23. I would not have personally sought the 'sector advice'. Question 2 (f) 24. I have no knowledge: (a) whether the intention to fund the anticipated funding shortfall of $3.1 million for regional health HHF projects through cost savings resulting from the cessation of the 15-bed Redlands Adolescent Extended Treatment Unit (RAETU) was ultimately implemented; (b) whether the cost savings, from the cessation of RAETU, funded the capital funding shortfall; or Page5 Deponent A+.P:;-G:Bw., Solicitor Document No: 6343529 EXHIBIT 186 CHS.900.005.0006 -6- (c) what other projects or expenditures were funded by cost savings resulting from the cessation of RAE TU. 25. I am aware that sometimes the Department would put operational money into capital projects and that the Department never reallocated capital funding for operational spending. For this reason, I am confident that the capital funding would have been spent on capital projects. However, I cannot say what particular capital projects the funding was spent on. Even if I had retained oversight for the mental health division, I would not have known this type of information as my division was responsible for providing policy advice. A separate division of Queensland Health deals with how operational and capital funding is managed. Question 2 (g) 26. I am aware that there were multiple historical reviews of The Park. However, I am not aware whether a further review was undertaken, after the briefing note, of the then existing adolescent centre at The Park. The briefing note was prepared in May 2012, and from July 2012 I ceased to have any involvement with mental health issues. The then Executive Director of Mental Health may be aware whether the review took place. Question 2 (h) 27. I cannot recall the detail of the 'limited sector consultation' referred to in the briefing note, other than that the consultation indicated that the model of care proposed at Redlands was out dated and that current practice was to provide services in the community close to where the patients ordinarily reside. The consultation would have occurred at officer level under the supervision of the Executive Director of Mental Health, and the Executive Director would have reported the outcomes to me as part of our regular meetings. If there are any records of the consultation, I would expect them to be held b. the Mental Health, Alcohol and Other Dru s Branch. Page6 M:P., C.Ilec:, Solicitor Document No: 6343529 EXHIBIT 186 CHS.900.005.0007 .7. Question 2 (i) 28. Although I cannot recall the detail, I wou!c:I expec::t the 'limited sector consultation' was informal consultation as extensive formal consultation does not ordinarily occur until after there is 'in principle' approval to pursue a particular avenue of action.
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